Fundamentals of Nursing Final Exam
1. Which of the following dressings would you expect to use for a dry wound bed with
some eschar?
a) foam
b) transparent
c) hydrogel
d) alginate Correct Answer(s) c
2. Which risk for skin integrity for patient is most pertinent in patient w/ urinary
incontinence? (exam IV standards)
a) maceration
b) desiccation
c) infection
d) necrosis Correct Answer(s) a
3. Nonblanchable erythematous on left lower heel. Most appropriate nursing dx?
a) risk for infection
b) impaired peripheral perfusion
c) inadequate nutrition: less than body requirements
d) disturbed body image Correct Answer(s) b
4. Bleeding gums, loose teeth, and impaired wound healing are evidence of which
vitamin deficiency?
a) Vit A
b) Vit D
,c) Vit C
d) Vit K Correct Answer(s) c
5. Flushing and itching of face, skin indicate an excess of which vitamin?
a) niacin
b) cobalamin
c) thiamine
d) tocopherol Correct Answer(s) a
(also beneficial in decreasing blood lipids/lipoprotein)
6. the purpose of maintaining a moist wound bed is?
a) facilitate collagen deposits
,b) promote epithelialization
c) wound debridement
d) prevent dehydrate Correct Answer(s) b
7. Patient is prescribed a full liquid diet. Which of the following reflect an
understanding of diet requirements?
a) strained potatoes, milk, cottage cheese
b) broth, chicken soup, apple juice
c) dark green leafy vegetables, citrus fruits, tea d) ginger ale, vegetable juice-
Correct Answer(s) a, d
8. Renal diet should restrict all of the following EXCEPT?
a) fluid
b) protein
c) sodium
d) carbohydrates
e) potassium
f) phosphorous Correct Answer(s) d
9. might expect to see this with negative nitrogen balance
a) ataxic gait
b) bone demineralization
c) renal calculi
d) muscle atrophy Correct Answer(s) d
10. nurse assesses pressure ulcer to find yellow exudate in wound bed. what is the
appropriate intervention?
, a) debride wound
b) apply negative wound pressure therapy
c) clean wound with 0.9% NS
d) cover wound to protect it Correct Answer(s) c
(yellow indicates fibrin/slough - needs to be cleaned; debridement is for eschar; red indicate
granulation and needs protection)
11. 40 y/o male presents to office, says he has not had a physical exam in 20 years.
Assessment findings are Correct Answer(s) Temp 98.3 Resp 16 Pulse 64 BP
150/96. He is married with 2 adolescent children. What screenings should the nurse
recommend? Select all that apply.
1. Which of the following dressings would you expect to use for a dry wound bed with
some eschar?
a) foam
b) transparent
c) hydrogel
d) alginate Correct Answer(s) c
2. Which risk for skin integrity for patient is most pertinent in patient w/ urinary
incontinence? (exam IV standards)
a) maceration
b) desiccation
c) infection
d) necrosis Correct Answer(s) a
3. Nonblanchable erythematous on left lower heel. Most appropriate nursing dx?
a) risk for infection
b) impaired peripheral perfusion
c) inadequate nutrition: less than body requirements
d) disturbed body image Correct Answer(s) b
4. Bleeding gums, loose teeth, and impaired wound healing are evidence of which
vitamin deficiency?
a) Vit A
b) Vit D
,c) Vit C
d) Vit K Correct Answer(s) c
5. Flushing and itching of face, skin indicate an excess of which vitamin?
a) niacin
b) cobalamin
c) thiamine
d) tocopherol Correct Answer(s) a
(also beneficial in decreasing blood lipids/lipoprotein)
6. the purpose of maintaining a moist wound bed is?
a) facilitate collagen deposits
,b) promote epithelialization
c) wound debridement
d) prevent dehydrate Correct Answer(s) b
7. Patient is prescribed a full liquid diet. Which of the following reflect an
understanding of diet requirements?
a) strained potatoes, milk, cottage cheese
b) broth, chicken soup, apple juice
c) dark green leafy vegetables, citrus fruits, tea d) ginger ale, vegetable juice-
Correct Answer(s) a, d
8. Renal diet should restrict all of the following EXCEPT?
a) fluid
b) protein
c) sodium
d) carbohydrates
e) potassium
f) phosphorous Correct Answer(s) d
9. might expect to see this with negative nitrogen balance
a) ataxic gait
b) bone demineralization
c) renal calculi
d) muscle atrophy Correct Answer(s) d
10. nurse assesses pressure ulcer to find yellow exudate in wound bed. what is the
appropriate intervention?
, a) debride wound
b) apply negative wound pressure therapy
c) clean wound with 0.9% NS
d) cover wound to protect it Correct Answer(s) c
(yellow indicates fibrin/slough - needs to be cleaned; debridement is for eschar; red indicate
granulation and needs protection)
11. 40 y/o male presents to office, says he has not had a physical exam in 20 years.
Assessment findings are Correct Answer(s) Temp 98.3 Resp 16 Pulse 64 BP
150/96. He is married with 2 adolescent children. What screenings should the nurse
recommend? Select all that apply.
